| NPI | 1194064956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: ME MD25934) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 1171153) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2022-09-12 |